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Organization

OGALLALA COMMUNITY HOSPITAL

Active
Parent organization
BANNER HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
BANNER HEALTH
Authorized official
TIMOTHY GULLINGSRUD (CEO)
(602) 747-4000
Entity
Organization

Contact information

Practice address
2601 N SPRUCE ST, OGALLALA, NE 69153-2465
(308) 284-4011
(308) 284-7212
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
01/26/2018
Last updated
04/20/2026
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